Active NPI 1720044241 Individual Practitioner Male Practitioner

Dr. Peter A Ankoh , MD

Internal Medicine • Leesburg, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Peter Ankoh, MD is a certified Internal Medicine practicing in Leesburg, FL. With approximately 37 years of clinical experience since completing medical education in 1989, Dr. Ankoh delivers high-quality medical care to the local community at 1107 WEST DIXIE AVENUE.

Dr. Ankoh accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1107 West Dixie Avenue

Leesburg, FL 34748

Telephone 3527282999

Fax 3524600050

Associated Practice Facility / Clinic

🏢 Peter Amos Ankoh Md Pa Facility NPI 1225154289

Medicare Profile & Education

Medical School

Other

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Leesburg, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +9.7 yrs vs City Avg

City Avg: 27.3 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

30 Specialists

Practicing in Leesburg, FL (10650 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

30.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ankoh (37 Years) 37 Yrs

Leesburg Specialty Average (27.3 Years) 27.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	796	361	$165.00	$124.63
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	332	110	$120.00	$77.19
99213 Established patient office or other outpatient visit, typically 15 minutes	326	190	$115.00	$87.73
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	209	76	$150.00	$115.27
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	158	158	$225.00	$125.56
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	124	95	$250.00	$169.29
99239 Hospital discharge day management, more than 30 minutes	123	91	$150.00	$111.11
99496 Transitional care management services for problem of high complexity	97	73	$280.00	$269.50
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	60	17	$30.00	$13.74
99291 Critical care, first 30-74 minutes	38	17	$375.00	$209.75
G0442 Annual alcohol misuse screening, 5 to 15 minutes	28	28	$24.00	$17.91
93000 Routine ekg using at least 12 leads including interpretation and report	26	26	$50.00	$13.88
99495 Transitional care management services for problem of at least moderate complexity	22	20	$210.00	$199.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$165.00	$109.04
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	11	$115.00	$51.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	801	218	$150.00	$118.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	799	393	$165.00	$125.20
99213 Established patient office or other outpatient visit, typically 15 minutes	333	206	$115.00	$88.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	162	121	$250.00	$172.30
99239 Hospital discharge day management, more than 30 minutes	139	106	$150.00	$113.47
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	133	133	$225.00	$125.73
99497 Advance care planning, first 30 minutes	128	128	$110.00	$81.16
G0444 Annual depression screening, 5 to 15 minutes	128	128	$24.00	$17.70
G0442 Annual alcohol misuse screening, 5 to 15 minutes	126	126	$24.00	$17.70
99496 Transitional care management services for problem of high complexity	96	74	$280.00	$269.20
99291 Critical care, first 30-74 minutes	58	28	$375.00	$209.46
93000 Routine ekg using at least 12 leads including interpretation and report	50	49	$50.00	$14.20
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	37	18	$30.00	$13.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$165.00	$110.76
99495 Transitional care management services for problem of at least moderate complexity	27	23	$210.00	$198.57
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg	21	13	$10.00	$3.88
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	13	$115.00	$50.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	888	196	$150.00	$101.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	805	386	$165.00	$126.80
99213 Established patient office or other outpatient visit, typically 15 minutes	376	207	$115.00	$89.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	155	155	$224.30	$128.45
G0444 Annual depression screening, 5 to 15 minutes	150	150	$23.96	$17.84
G0442 Annual alcohol misuse screening, 5 to 15 minutes	148	148	$23.96	$18.15
99239 Hospital discharge day management, more than 30 minutes	130	90	$150.00	$103.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	114	80	$250.00	$197.46
99220 Hospital observation care, typically 70 minutes	95	77	$250.00	$178.07
99291 Critical care, first 30-74 minutes	89	36	$375.00	$219.93
99496 Transitional care management services for problem of high complexity	84	58	$280.00	$273.52
99225 Subsequent observation care, typically 25 minutes per day	74	49	$130.00	$70.60
93000 Routine ekg using at least 12 leads including interpretation and report	55	53	$50.00	$14.24
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	38	17	$30.00	$14.04
99497 Advance care planning, first 30 minutes	30	30	$110.00	$84.06
99495 Transitional care management services for problem of at least moderate complexity	28	24	$210.00	$203.23
99217 Hospital observation care on day of discharge	24	23	$125.00	$70.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$165.00	$111.88
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg	23	15	$10.00	$4.18
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	20	19	$115.00	$52.14
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	15	11	$90.00	$40.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	871	424	$164.60	$129.55
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	796	184	$149.66	$103.66
99213 Established patient office or other outpatient visit, typically 15 minutes	354	218	$114.76	$91.22
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	158	158	$225.00	$131.83
G0444 Annual depression screening, 5 to 15 minutes	154	154	$24.00	$18.25
99239 Hospital discharge day management, more than 30 minutes	142	95	$149.70	$106.23
99220 Hospital observation care, typically 70 minutes	109	93	$248.85	$182.61
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	103	86	$250.00	$201.13
99225 Subsequent observation care, typically 25 minutes per day	91	52	$130.00	$71.26
99291 Critical care, first 30-74 minutes	74	23	$375.00	$224.07
99496 Transitional care management services for problem of high complexity	60	53	$279.18	$271.42
93000 Routine ekg using at least 12 leads including interpretation and report	50	48	$49.34	$14.80
G0442 Annual alcohol misuse screening, 5 to 15 minutes	47	47	$24.00	$18.25
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	43	43	$25.00	$19.91
G0008 Administration of influenza virus vaccine	43	43	$30.00	$16.59
99495 Transitional care management services for problem of at least moderate complexity	41	35	$210.00	$204.14
99217 Hospital observation care on day of discharge	41	40	$123.74	$70.86
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	33	14	$29.84	$13.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$165.00	$112.81
99497 Advance care planning, first 30 minutes	22	22	$110.00	$85.52
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	18	$115.00	$52.42
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg	16	13	$10.00	$4.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	849	421	$164.52	$109.69
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	626	158	$149.93	$107.12
99213 Established patient office or other outpatient visit, typically 15 minutes	503	268	$114.66	$75.58
99497 Advance care planning, first 30 minutes	200	200	$109.76	$87.62
G0442 Annual alcohol misuse screening, 5 to 15 minutes	200	200	$23.94	$18.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	185	185	$223.82	$116.68
G0444 Annual depression screening, 5 to 15 minutes	171	171	$23.96	$18.16
99239 Hospital discharge day management, more than 30 minutes	133	103	$150.00	$109.53
99220 Hospital observation care, typically 70 minutes	97	83	$249.36	$190.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	96	75	$250.00	$208.59
99225 Subsequent observation care, typically 25 minutes per day	82	51	$130.00	$74.64
99291 Critical care, first 30-74 minutes	75	28	$375.00	$231.22
93000 Routine ekg using at least 12 leads including interpretation and report	73	68	$50.00	$16.71
99496 Transitional care management services for problem of high complexity	71	57	$279.30	$245.27
G0008 Administration of influenza virus vaccine	42	42	$30.00	$16.57
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	42	42	$25.00	$19.17
99495 Transitional care management services for problem of at least moderate complexity	42	37	$210.00	$185.73
99217 Hospital observation care on day of discharge	39	34	$125.00	$74.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$165.00	$109.28
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	22	16	$24.00	$15.00
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	17	$115.00	$53.65
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$230.00	$171.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$260.00	$167.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,065	515	$164.95	$107.21
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	765	196	$150.00	$104.63
99213 Established patient office or other outpatient visit, typically 15 minutes	539	295	$115.00	$73.09
G0442 Annual alcohol misuse screening, 5 to 15 minutes	265	265	$23.98	$17.66
99497 Advance care planning, first 30 minutes	257	256	$109.91	$85.08
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	255	32	$120.00	$91.63
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	188	188	$224.42	$114.63
G0444 Annual depression screening, 5 to 15 minutes	187	187	$23.97	$17.66
99225 Subsequent observation care, typically 25 minutes per day	182	97	$130.00	$73.57
99220 Hospital observation care, typically 70 minutes	176	136	$250.00	$186.89
99239 Hospital discharge day management, more than 30 minutes	149	112	$150.00	$107.25
99496 Transitional care management services for problem of high complexity	127	100	$280.00	$228.80
93000 Routine ekg using at least 12 leads including interpretation and report	86	81	$50.00	$16.66
99291 Critical care, first 30-74 minutes	83	31	$375.00	$225.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	76	66	$250.00	$203.76
G0008 Administration of influenza virus vaccine	72	72	$30.00	$16.01
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	66	66	$25.00	$17.48
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	65	65	$230.00	$169.71
99217 Hospital observation care on day of discharge	56	48	$125.00	$73.27
99495 Transitional care management services for problem of at least moderate complexity	51	47	$210.00	$161.99
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	44	32	$175.00	$130.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$165.00	$108.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$260.00	$164.28
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	25	23	$115.00	$52.63
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	18	14	$10.00	$6.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,134	550	$165.00	$106.59
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	983	255	$150.00	$104.90
99213 Established patient office or other outpatient visit, typically 15 minutes	625	330	$115.00	$72.18
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	255	42	$120.00	$91.60
99239 Hospital discharge day management, more than 30 minutes	184	136	$150.00	$107.82
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	182	37	$60.00	$41.81
99497 Advance care planning, first 30 minutes	174	174	$110.00	$84.38
99220 Hospital observation care, typically 70 minutes	163	124	$250.00	$187.48
G0442 Annual alcohol misuse screening, 5 to 15 minutes	158	158	$24.00	$17.91
99496 Transitional care management services for problem of high complexity	134	100	$280.00	$228.16
99291 Critical care, first 30-74 minutes	127	44	$375.00	$225.59
99225 Subsequent observation care, typically 25 minutes per day	116	64	$130.00	$73.50
G0008 Administration of influenza virus vaccine	115	115	$30.04	$19.91
90756 Vaccine for influenza for injection into muscle	114	114	$25.00	$22.33
G0444 Annual depression screening, 5 to 15 minutes	109	109	$24.00	$17.58
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	108	108	$225.00	$115.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	102	87	$250.00	$204.42
93000 Routine ekg using at least 12 leads including interpretation and report	79	75	$50.00	$16.80
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	73	73	$230.00	$169.97
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	68	65	$115.00	$53.15
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	67	48	$175.00	$130.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$165.00	$107.85
99217 Hospital observation care on day of discharge	46	41	$125.00	$73.28
99226 Subsequent observation care, typically 35 minutes per day	43	32	$180.00	$105.47
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	40	33	$40.00	$21.09
99495 Transitional care management services for problem of at least moderate complexity	38	34	$210.00	$161.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	35	21	$120.00	$73.64
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	29	21	$10.00	$6.52
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	22	12	$90.00	$41.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$260.00	$164.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,090	534	$165.00	$105.80
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,029	192	$120.37	$72.12
99213 Established patient office or other outpatient visit, typically 15 minutes	566	325	$115.00	$71.42
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	483	282	$24.00	$14.40
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	363	45	$60.00	$41.67
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	298	56	$120.00	$90.95
99225 Subsequent observation care, typically 25 minutes per day	257	112	$130.00	$72.96
G0442 Annual alcohol misuse screening, 5 to 15 minutes	251	251	$23.98	$17.56
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	221	221	$229.73	$168.51
99497 Advance care planning, first 30 minutes	217	217	$109.89	$81.26
99239 Hospital discharge day management, more than 30 minutes	183	122	$150.00	$106.77
99219 Hospital observation care, typically 50 minutes	176	124	$200.00	$136.24
99496 Transitional care management services for problem of high complexity	154	111	$279.68	$225.85
G0008 Administration of influenza virus vaccine	143	143	$35.00	$24.44
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	127	127	$20.00	$17.20
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	96	74	$250.00	$203.37
93000 Routine ekg using at least 12 leads including interpretation and report	93	86	$50.00	$16.79
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	82	68	$115.00	$53.03
99495 Transitional care management services for problem of at least moderate complexity	72	63	$210.00	$160.84
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	67	27	$30.00	$24.39
99217 Hospital observation care on day of discharge	60	51	$125.00	$72.77
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	58	50	$175.00	$129.95
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	50	50	$225.00	$113.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$165.00	$107.70
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	46	22	$10.00	$5.56
99291 Critical care, first 30-74 minutes	42	20	$375.00	$225.64
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	41	22	$90.00	$40.60
G0444 Annual depression screening, 5 to 15 minutes	32	32	$24.00	$17.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$260.00	$163.99
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	16	16	$20.00	$15.95
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	14	12	$40.00	$19.68
99221 Initial hospital inpatient care per day, typically 30 minutes	12	11	$250.00	$102.43

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME92546

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine - Adolescent Medicine

NUCC Taxonomy Code: 207RA0000X

State License FL ME92546

An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

276086000 (FL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active August 25, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location August 25, 2014

Registered at 1107 WEST DIXIE AVENUE, LEESBURG, FL 34748 (Tel: 3527282999)

📍

Updated Business Mailing Address August 25, 2014

Registered at POST OFFICE BOX 492530, LEESBURG, FL 347492530 (Tel: 3527282999)

👤

Provider Name / Credentials Updated August 25, 2014

Recorded as PETER ANKOH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2014

Internal Medicine (License #ME92546 in FL)

🟢

Initial NPI Registration & Enumeration April 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1720044241

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 24, 2006

Last Update: August 25, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Post Office Box 492530

Leesburg, FL 347492530

Phone: 3527282999

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.